| NPI | 1659309839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 21529) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MO 2004018932) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-07-22 |